NCT03120390

Brief Summary

This randomized phase II trial studies how well physical activity works in reducing metabolic dysregulation in obese Latina breast cancer survivors. Physical activity may improve fitness and lessen metabolic disease (such as coronary artery disease, stroke, and type 2 diabetes) risk factors in patients who have breast cancer.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Mar 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 13, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 19, 2017

Completed
1.9 years until next milestone

Study Start

First participant enrolled

March 8, 2019

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2019

Completed
Last Updated

December 17, 2020

Status Verified

December 1, 2020

Enrollment Period

5 months

First QC Date

April 13, 2017

Last Update Submit

December 15, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in MetD

    Insulin resistance (IR) measured by Homeostasis Model Assessment (HOMA) will be assessed from baseline.

    From week 25 to week 49

Secondary Outcomes (3)

  • Change in cardiorespiratory fitness

    Baseline to week 49

  • Change in functional capacity

    Baseline to week 49

  • Change in muscle strength

    Baseline to week 49

Study Arms (3)

Group I (PCT)

EXPERIMENTAL

Patients undergo supervised exercise sessions comprising of AE over 30 minutes and RE over 25 minutes 3 days per week for 24 weeks. Patients are encouraged to complete AE at home over 20 minutes 1 day per week. Patients receive a Polar heart rate monitor to monitor heart rate during the AE sessions.

Behavioral: Exercise InterventionOther: Laboratory Biomarker AnalysisDevice: Monitoring DeviceOther: Quality-of-Life AssessmentOther: Questionnaire Administration

Group II (PAT)

EXPERIMENTAL

Patients undergo supervised exercise sessions comprising of AE over 45-60 minutes 3 days per week for 24 weeks. Patients are encouraged to complete AE at home over 20 minutes 1 day per week. Patients receive a Polar heart rate monitor to monitor heart rate during the AE sessions.

Behavioral: Exercise InterventionOther: Laboratory Biomarker AnalysisDevice: Monitoring DeviceOther: Quality-of-Life AssessmentOther: Questionnaire Administration

Group III (usual care)

ACTIVE COMPARATOR

Patients undergo usual care. Beginning 24 weeks, patients may undergo supervised exercise sessions comprising of AE and RE as in Group I.

Other: Best PracticeOther: Laboratory Biomarker AnalysisOther: Quality-of-Life AssessmentOther: Questionnaire Administration

Interventions

Undergo usual care

Also known as: standard of care, standard therapy
Group III (usual care)

Undergo AE

Group I (PCT)Group II (PAT)

Correlative studies

Group I (PCT)Group II (PAT)Group III (usual care)

Receive Polar heart rate monitor

Also known as: Monitor
Group I (PCT)Group II (PAT)

Ancillary studies

Also known as: Quality of Life Assessment
Group I (PCT)Group II (PAT)Group III (usual care)

Ancillary studies

Group I (PCT)Group II (PAT)Group III (usual care)

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Newly diagnosed (stage I-III) breast cancer
  • Self-identify as Latina
  • Have undergone a lumpectomy or mastectomy
  • Have received and completed neoadjuvant or adjuvant cytotoxic chemotherapy and/or radiation therapy within the past 12 months
  • Have no evidence of cancer disease after treatment (confirmed by their treating physician)
  • Able to initiate a supervised exercise program (free from any cardiovascular, respiratory or musculoskeletal disease or joint problems that preclude moderate physical activity; obtains clearance from physician to confirm status)
  • Are centrally obese with the following criteria (determined by study team at eligibility screening): body mass index (BMI) \> 30 kg/m\^2 (calculated using height and weight) or body fat \> 30% (estimated by bioelectrical impedance), and waist circumference \> 35 inches (in)
  • Free from history of chronic disease including severe diabetes (glycosylated hemoglobin \[HgA1c\] \> 7% requiring a pharmacologic intervention), uncontrolled hypertension or thyroid disease (obtains clearance from physician to confirm status)
  • Have not experienced a weight reduction \>= 10% within past 6 months; and body weight has remained stable for the past 4 weeks
  • Currently participate in less than 60 minutes of physical activity/week
  • No planned reconstructive surgery with flap repair during trial and follow-up period
  • May use adjuvant endocrine therapy if use will be continued for duration of study period
  • Does not smoke (no smoking during previous 12 months)
  • Willing to travel to the exercise facility at University of Southern California (USC) (parking fees and public transportation permits will be provided)

You may not qualify if:

  • Currently pregnant
  • History of chronic disease including uncontrolled diabetes, uncontrolled hypertension or uncontrolled thyroid disease; women using metformin to manage diabetes will be excluded from the trial
  • Weight reduction \>= 10% within past 6 months
  • Metastatic disease
  • Planned reconstructive surgery with flap repair during trial and follow-up period
  • Cardiovascular, respiratory or musculoskeletal disease or joint problems that preclude moderate physical activity

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

USC / Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

Location

MeSH Terms

Conditions

Obesity, Abdominal

Interventions

Practice Guidelines as TopicStandard of CareMonitoring, Physiologic

Condition Hierarchy (Ancestors)

ObesityOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Guidelines as TopicQuality Assurance, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and EvaluationQuality Indicators, Health CareDiagnostic Techniques and ProceduresDiagnosis

Study Officials

  • Christina Dieli-Conwright, Ph.D.

    University of Southern California

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 13, 2017

First Posted

April 19, 2017

Study Start

March 8, 2019

Primary Completion

July 31, 2019

Study Completion

July 31, 2019

Last Updated

December 17, 2020

Record last verified: 2020-12

Locations